# Patient Cost Estimates ## HUHS is committed to informing its patients and prospective patients about the approximate costs of its services. [ arrow\_forward Contact Us ](#contact) [ arrow\_forward Examples ](#examples) [ arrow\_forward Cost Estimates ](#cost-estimates) [ Understand Your Rights & Protections Against Surprise Medical Bills arrow\_circle\_right ](/no-surprises-act) In support of this commitment to price transparency, HUHS provides cost estimates upon request and publishes cost estimates for its most common health care services, procedures, and treatments. In addition, this webpage provides several examples of common health care visit scenarios and the subsequent cost of each visit. ## Contact Us We are here to help! For specific price inquiries or to request a cost estimate, please contact Patient Accounts by phone or email: - Call **(617) 496-8700** between 8:30 am – 4:30 pm EST, Monday through Friday\* - Email us at [**PriceEstimates@huhs.harvard.edu**](mailto:PriceEstimates@huhs.harvard.edu) \*Closed from 1 pm – 2 pm EST daily. ## Examples Below are the four most common visit scenarios. The costs are based on estimates; see below for **fee tables**. These prices are subject to change. ### Example One: Self-Pay A fellow from Harvard Law School walks into Urgent Care with severe cough and congestion, requiring evaluation. The doctor subsequently orders chest X-rays for further assessment. SortOffice visit for a new patientMaximum cost: $252**X-ray exam of the chest (2 views)** **Maximum cost: $82** **Patient’s responsibility** **$334** --- ### Example Two: BCBS High Deductible Health Plan – Patient Has NOT Met Their Deductible A patient presents with right knee pain, prompting the doctor to request a knee X-ray for further evaluation. The patient has maintained good health throughout the year and has not met their deductible. SortOffice visit for an established patientMaximum cost: $152**X-ray exam of the knee (4 views or more)** **Maximum cost: $59** **Patient’s responsibility** **$211** --- ### Example Three: BCBS High Deductible Health Plan – Patient HAS Met Their Deductible A patient presents with a left-hand injury from playing basketball, prompting the doctor to request a hand X-ray for further evaluation. The patient has experienced a challenging year and has visited the doctor’s office multiple times this year. As a result, they have met their deductible and are now only responsible for a 15% coinsurance. SortOffice visit for an established patientMaximum cost: $17**X-ray exam of the hand** **Maximum cost: $8** **Patient’s responsibility** **$25** --- ### Example Four: BCBS HMO/POS/PPO (This Example Also Applies to a HUGHP Member with an Outside PCP) A Harvard University employee presents to HUHS Urgent Care with a sore throat, and the attending physician conducts a rapid strep test to determine if the patient has strep throat. The patient has a BCBS HMO plan with an outside PCP. The HUHS Urgent Care unit is credentialed with BCBS, which means the patient will only be responsible for their copay. According to the patient’s BCBS insurance card, their copay for an office visit is $30. SortOffice visit for a new patientMaximum cost: $30**Rapid strep test** **Maximum cost: $0** **Patient’s responsibility** **$30** ## Glossary of Terms - **CPT:** Current Procedural Terminology - **Self-Pay:** If you do not have any insurance, this is the most you should expect to pay. - **Out-of-Network:** Physicians, hospitals, and other health providers who do not participate in your plan’s network. Services obtained from an out-of-network provider are subject to deductibles and coinsurance. - **BCBS High Deductible Health Plan:** A plan offered through BCBSMA that features lower premiums and higher deductibles. You’ll pay the full cost of all services until you reach your individual or family’s deductible before the plan begins paying according to your plan’s benefits. - **Deductible:** The amount you must pay for covered health insurance before the insurance starts to pay for services. ## Cost Estimates You are considered a “new patient” if you have not been seen in the department or specialty in the last three years. Open all sections Close all sections ### Office Visits for New Patients expand\_more SortDescriptionCPTSelf-Pay/Out-of-Network BCBS High Deductible Health Plan Low to moderate severity, includes exam and reviewing patient’s expanded history 99202 $163 $86 Moderate severity, includes exam and reviewing patient’s detailed history 99203 $252 $133 Moderate to high severity, includes exam and reviewing patient’s comprehensive history 99204 $375 $198 High severity, includes exam and reviewing patient’s comprehensive history 99205 $495 $260 ### Office Visits for Established Patients expand\_more SortDescriptionCPTSelf-Pay/Out-of-Network BCBS High Deductible Health Plan Minimal problem, may not require a physician 99211 $54 $29 Limited or minor problem, includes exam and reviewing patient’s history 99212 $129 $68 Low severity, includes exam and reviewing patient’s expanded history 99213 $206 $109 Moderate severity, includes exam and reviewing patient’s expanded history 99214 $289 $152 Moderate to high severity, includes exam and reviewing patient’s comprehensive history 99215 $405 $213 ### Behavioral Health Services expand\_more SortDescriptionCPTSelf-Pay/Out-of-Network BCBS High Deductible Health Plan (range\*) Psychiatric diagnostic evaluation 90791 $386 $152 – $203 Psychiatric diagnostic evaluation with medical services 90792 $434 n/a – $228 Psychotherapy, 30 minutes 90832 $177 $68 – $93 Psychotherapy, 45 minutes 90834 $258 $100 – $136 Psychotherapy, 1 hour 90837 $352 $137 – $186 Psychotherapy for crisis, first hour 90839 $332 $128 – $175 Family psychotherapy with patient, 50 minutes 90847 $249 $98 – $131 Group psychotherapy 90853 $68 $27 – $36 Established patient with straightforward medical decision making 99212 $129 n/a – $68 Established patient with low level of decision making, if using time 99213 $206 n/a – $109 Established patient with moderate level of decision making, if using time 99214 $289 n/a – $152 Established patient with high level of medical decision making 99215 $405 n/a – $213 Psychiatric services complicated by communication factor 90785 $33 $13 – $17 ***\* Note: For certain procedures under the BCBS HDHP, the pricing range is indicated as not applicable (n/a) because some providers do not offer these services.*** ### Ultrasound expand\_more SortDescriptionCPTSelf-Pay/Out-of-Network BCBS High Deductible Health Plan EXAM PELVIC COMPLETE 76856 $257 $135 TRANSVAGINAL NON-OB 76830 $292 $154 EXAM OF HEAD AND NECK 76536 $272 $143 EXAM SCROTUM 76870 $244 $129 EXAM ABDOM COMPLETE 76700 $283 $149 LMTD JT/FCL EVL NVASC XTR 76882 $155 $82 EXAM ABDO BACK WALL COMP 76770 $263 $138 EXAM PELVIC LIMITED 76857 $118 $62 EXAM ABDO BACK WALL LIM 76775 $142 $75 OB < 14 WKS SINGLE FETUS 76801 $282 $149 ### X-Ray expand\_more SortDescriptionCPTSelf-Pay/Out-of-Network BCBS High Deductible Health Plan X-RAY EXAM CHEST 2 VIEWS 71046 $82 $43 X-RAY EXAM KNEE 4 VIEWS OR MORE 73564 $112 $59 X-RAY EXAM OF FOOT 73630 $80 $42 X-RAY EXAM OF ANKLE 73610 $86 $45 X-RAY EXAM OF SHOULDER 73030 $82 $43 X-RAY EXAM HIP UNI 2-3 VIEWS 73502 $113 $59 X-RAY EXAM OF FINGER(S) 73140 $91 $48 X-RAY EXAM L-S SPINE 2/3 VWS 72100 $93 $49 X-RAY EXAM OF WRIST 73110 $98 $52 X-RAY EXAM OF HAND 73130 $88 $46 X-RAY EXAM OF TOE(S) 73660 $68 $36 X-RAY EXAM OF KNEES, STANDING VIEW OF BOTH 73565 $95 $50 X-RAY EXAM COMPLETE ABDOMEN 74022 $117 $62 X-RAY EXAM OF FOOT (AP + LAT) 73620 $67 $35 X-RAY EXAM OF ELBOW 73080 $77 $40 ### Vaccines expand\_more ## Vaccine Pricing The prices listed in the Vaccine Pricing document represent the cost for students to obtain preventive vaccines. Harvard University students enrolled in the Student Health Insurance Plan (SHIP) can receive [**certain preventive vaccines**](https://hushp.harvard.edu/your-benefits/preventive-vaccines/) at no cost.